CMS Price Transparency Data
Orthotic fitting and training
Facility: University Medical Center
Billing Code: 97760 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97760
- Insurance Median: $60
- Cash Discount Price: $107
- vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Orthotic fitting and training at University Medical Center is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $46.09, this hospital’s rate is 1.30x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$107
Average discount available for prompt cash payment at this facility.
Insurance Median
$60
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$46.09
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $46.09 (100%)
Cash / Self-Pay: $107 (232%)
Insurance Median: $60 (130%)
Cash: $107 (232% of Medicare)
Ins. Median: $60 (130% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $46.09 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Input your details and click calculate to compare out-of-pocket costs.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aig | $30 - $163 | 65% |
| Beech Street | $30 - $163 | 65% |
| Cement Masons & Plasters H&W | $30 - $147 | 65% |
| American Postal Workers Health Plan | $31 - $323 | 67% |
| Las Vegas Firefighters 1285 | $31 - $147 | 67% |
| Surest | $31 - $323 | 67% |
| Switch | $31 - $147 | 67% |
| UnitedHealthcare | $31 - $323 | 67% |
| Ambetter / Centene | $34 - $292 | 74% |
| Blue Cross Blue Shield | $34 - $133 | 74% |
| Molina | $34 - $292 | 74% |
| Sierra Health And Life | $34 - $319 | 74% |
| Cigna | $40 - $133 | 87% |
| Cirque De Soleil | $40 - $133 | 87% |
| City Of North Las Vegas | $40 - $147 | 87% |
| Great West Healthcare | $40 - $133 | 87% |
| Kaiser | $40 - $133 | 87% |
| National Security Technologies | $40 - $133 | 87% |
| Advantra Freedom | $46 - $133 | 100% |
| Aetna | $46 - $239 | 100% |
| Allwell | $46 | 100% |
| Arroweye Solutions | $46 - $153 | 100% |
| Caesar'S Entertainment | $46 - $147 | 100% |
| City Of Henderson | $46 - $147 | 100% |
| Clark County Epo | $46 - $147 | 100% |
| Clark County Self Funded | $46 - $147 | 100% |
| Dignity Health | $46 - $153 | 100% |
| Golden Entertainment | $46 - $153 | 100% |
| Golden Nugget Hotel & Casino | $46 - $153 | 100% |
| Healthcare Partners Of Nevada | $46 | 100% |
| Las Vegas Metro Police Dept | $46 - $147 | 100% |
| Las Vegas Sand Corps | $46 - $323 | 100% |
| Marshall Retail Group | $46 - $153 | 100% |
| Mgm Grand | $46 - $147 | 100% |
| Mirage Las Vegas | $46 - $147 | 100% |
| Operating Engineers | $46 - $147 | 100% |
| P3 Health Partners | $46 - $153 | 100% |
| P3 Health Partners Nevada | $46 | 100% |
| Pli Las Vegas | $46 - $153 | 100% |
| Rebel Oil Company | $46 - $153 | 100% |
| Resorts World Las Vegas | $46 - $147 | 100% |
| Selecthealth | $46 - $292 | 100% |
| State Of Nevada | $46 - $153 | 100% |
| Stations Casinos | $46 - $153 | 100% |
| Teacher'S Health Trust | $46 - $153 | 100% |
| Truline Corporation | $46 - $153 | 100% |
| Va Pc3 (Va Choice) | $46 - $478 | 100% |
| Venetian/Palazzo | $46 - $153 | 100% |
| Wynn Resorts | $46 - $147 | 100% |
| Alignment Health | $48 - $159 | 104% |
| Scan | $48 - $159 | 104% |
| Clark County Firefighters 1908 | $51 - $147 | 111% |
| Coventry | $51 - $186 | 111% |
| Employee Painters Trust | $51 - $147 | 111% |
| First Health | $51 - $260 | 111% |
| Geha | $51 - $69 | 111% |
| Health Net | $51 - $451 | 111% |
| Mail Handlers Benefit Plan | $51 - $186 | 111% |
| Nevada Energy | $51 - $186 | 111% |
| Three Rivers Provider Network | $51 - $260 | 111% |
| Boyd Group | $55 - $147 | 119% |
| Bricklayers Local 13 | $55 - $147 | 119% |
| California Ironwork Field Welfare | $55 - $133 | 119% |
| Electrical Workers | $55 - $147 | 119% |
| Laborers Health And Welfare | $55 - $147 | 119% |
| Plumbers & Pipefitters Loc 525 | $55 - $147 | 119% |
| Sheet Metal Workers | $55 - $133 | 119% |
| So Ca Pipe Trades H&W | $55 - $133 | 119% |
| Southwest Carpenters H&W | $55 - $133 | 119% |
| Teamsters Local 14 | $55 - $147 | 119% |
| Teamsters Local 631 | $55 - $147 | 119% |
| Teamsters Local 986 | $55 - $147 | 119% |
| Ufcw Local 711 Retail Clerks | $55 - $147 | 119% |
| Culinary Workers Hwf | $56 - $147 | 122% |
| Laughlin Coalition | $63 - $207 | 137% |
| Hometown Health Plan Nevada | $69 | 150% |
| Jw Marriott | $69 - $319 | 150% |
| Nevada Preferred Professionals | $69 - $319 | 150% |
| One Health Plan | $69 - $243 | 150% |
| Prominence Health Plan | $69 - $319 | 150% |
| Universal Health Network (Uhn) | $69 - $319 | 150% |
| Health Direct Partners | $76 - $292 | 165% |
| Zuffa | $97 - $319 | 210% |
| Nevada Hand | $147 | 319% |
| Clark County Detention Center | $159 | 345% |
| Hometown Health Plan Of Nevada | $243 | 527% |